Anxiety in people with multiple sclerosis during the COVID-19 pandemic: A mixed-methods survey.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-05-01 Epub Date: 2023-11-13 DOI:10.1037/rep0000528

Austin Fahy, Rebecca Maguire

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Abstract

Objective: During the COVID-19 pandemic, anxiety in people with multiple sclerosis (PwMS) may have increased; however, little is known about the various factors which influenced this. We aimed to (a) identify the psychosocial modifiable associates of anxiety in PwMS in Ireland and the United Kingdom and (b) explore experiences of anxiety during the pandemic.

Method: A cross-sectional survey was developed using public and patient involvement in 2021. This included measures of anxiety (Hospital Anxiety and Depression Scale [HADS-A]), social support (Multidimensional Scale of Perceived Social Support [MSPSS]), multiple sclerosis control self-efficacy (Multiple Sclerosis Self-Efficacy scale [MSSE]), exercise habits (Godin Leisure-Time Exercise Questionnaire [GLTEQ]), MS acceptance (Acceptance of Chronic Health Conditions scale [ACHC]), and intolerance of uncertainty (Intolerance of Uncertainty Scale-12 [IUS-12]), with open-ended questions asking about experiences of anxiety during COVID-19. A hierarchical regression analysis investigated the extent to which anxiety could be predicted by psychosocial modifiable factors after controlling for sociodemographic factors and multiple sclerosis (MS) type, while reflective thematic analysis was used to analyze open-ended responses.

Results: 287 PwMS completed the survey, with 58% reporting that their anxiety had increased during the pandemic. In order of magnitude, self-efficacy (β = -.41), intolerance of uncertainty (β = .35), social support (β = -.21), and exercise habits (β = .19) significantly predicted variance in HADS-A scores (p < .01). Themes describing sources of anxiety included personal health concerns, social concerns, and responsibilities/additional external burdens. In contrast, some PwMS reported that anxiety had decreased during COVID-19.

Conclusions: While the generality of findings may be limited due to a predominately female sample of PwMS living in the United Kingdom and Ireland, results have the potential to inform the development of targeted interventions in rehabilitation psychology to reduce anxiety in this population. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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COVID-19大流行期间多发性硬化症患者的焦虑:一项混合方法调查

目的:2019冠状病毒病大流行期间，多发性硬化症(PwMS)患者的焦虑可能有所增加;然而，人们对影响这一现象的各种因素知之甚少。我们的目的是(a)确定爱尔兰和英国PwMS患者焦虑的社会心理可改变关联，(b)探索大流行期间的焦虑经历。方法:在2021年采用公众和患者参与进行横断面调查。其中包括焦虑(医院焦虑抑郁量表[HADS-A])、社会支持(感知社会支持多维量表[MSPSS])、多发性硬化症控制自我效能(多发性硬化症自我效能量表[MSSE])、运动习惯(戈丁休闲运动问卷[GLTEQ])、多发性硬化症接受度(慢性健康状况接受度量表[ACHC])和不确定性不耐受度(不确定性不耐受度量表-12 [IUS-12])。并提出开放式问题，询问他们在COVID-19期间的焦虑经历。在控制了社会人口学因素和多发性硬化症(MS)类型后，采用层次回归分析考察了心理社会可变因素对焦虑的预测程度，而反思性主题分析则用于分析开放式回答。结果:287名PwMS完成了调查，58%的人报告说，他们的焦虑在大流行期间有所增加。在数列上，自我效能(β = - 0.41)、对不确定性的不耐受(β = 0.35)、社会支持(β = - 0.21)和运动习惯(β = 0.19)显著预测HADS-A评分的差异(p < 0.01)。描述焦虑来源的主题包括个人健康问题、社会问题和责任/额外的外部负担。相比之下，一些PwMS报告说，在COVID-19期间，焦虑有所减少。结论:虽然由于生活在英国和爱尔兰的PwMS主要是女性样本，研究结果的普遍性可能受到限制，但研究结果有可能为康复心理学中有针对性的干预措施的发展提供信息，以减少这一人群的焦虑。(PsycInfo数据库记录(c) 2023 APA，版权所有)。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.

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